Tobacco modalities used and outcome in patients with acute coronary syndrome: an observational report

Suwaidi, Jassim Al; Habib, Khalid; Singh, Rajvir; Hersi, Ahmad; Nemer, Khalid Al; Asaad, Nidal; Saif, Shukri Al; Al-Motarreb, Ahmed; Almahmeed, Wael; Sulaiman, Kadhim; Amin, Haitham; Al-Lawati, Jawad; Bustani, Nizar Al; Al-Sagheer, Norah Q.; Ali, Waleed

doi:10.1136/postgradmedj-2011-130178

Cited by 16 publications

(29 citation statements)

References 47 publications

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“…The first publication on the association of WPS with long-term cardiovascular outcomes was an abstract reporting an increased odds of CAD with OR=2.2 (95% CI 0.9 to 5.4) in individuals who ever smoked WP and OR=0.7 (95% CI 0.3 to 1.9) in current WP smokers compared with individuals who never smoked. 24 Since then, more studies have evaluated this association including a cross-sectional study from Iran, 25 one prospective study 26 and one case–control study 27 from Bangladesh, 26 27 and three hospital-based cross-sectional studies from Lebanon, 28 Qatar 29 and Egypt. 30 Moreover, one community-based cross-sectional study from Jordan evaluated the association of WPS with hypertension.…”

Section: Resultsmentioning

confidence: 99%

Health effects associated with waterpipe smoking

2015

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ObjectiveIt is widely held that waterpipe smoking (WPS) is not associated with health hazards. However, several studies have documented the uptake of several toxicants and carcinogens during WPS that is strongly associated with harmful health effects. This paper reviews the literature on the health effects of WPS.Data sourcesThree databases-PubMed, MEDLINE and EMBASE-were searched until August 2014 for the acute and long-term health effects of WPS using the terms ‘waterpipe’ and its synonyms (hookah, shisha, goza, narghileh, arghileh and hubble-bubble) in various spellings.Study selectionWe included original clinical studies, case reports and systematic reviews and focused on clinical human studies. ∼10% of the identified studies met the selection criteria.Data extractionData were abstracted by all three authors and summarised into tables. Abstracted data included study type, results and methodological limitations and were analysed jointly by all three authors.Data synthesisWPS acutely leads to increased heart rate, blood pressure, impaired pulmonary function and carbon monoxide intoxication. Chronic bronchitis, emphysema and coronary artery disease are serious complications of long-term use. Lung, gastric and oesophageal cancer are associated with WPS as well as periodontal disease, obstetrical complications, osteoporosis and mental health problems.ConclusionsContrary to the widely held misconception, WPS is associated with a variety of adverse short-term and long-term health effects that should reinforce the need for stronger regulation. In addition, this review highlights the limitations of the published work, which is mostly cross-sectional or retrospective. Prospective studies should be undertaken to assess the full spectrum of health effects of WPS, particularly in view of its growing popularity and attractiveness to youth.

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Section: Resultsmentioning

confidence: 99%

Health effects associated with waterpipe smoking

2015

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“…Many people have a misconception that waterpipe smoking is a safer alternative to cigarettes, perhaps due to the exotic smells and the attractive and sophisticated architecture of the nicotine delivery device, whereby water is wrongly thought to act as a smoke filter. 6,9 Approximately 10-20 g of tobacco is used per shisha session, in addition to 5 g of charcoal, which produces more toxic chemicals than cigarettes. 10 Multiple health dangers are associated with waterpipe smoking, such as heart disease, lung and oral cancers, respiratory diseases and low birth weight.…”

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confidence: 99%

Perception and intentions to quit among waterpipe smokers in Qatar: a cross-sectional survey

Jaam

Al-Marridi

Fares

et al. 2016

public health action

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“…In another recent study, moderate-high WP use (defined as cumulative use >50 WP-year) versus never-low use (cumulative use 50 WP-year) was associated with higher prevalence of ischemic heart disease (OR Z 1.83, 95% CI 1.10e3.07); however, the prevalence did not differ significantly between ever and never WP users (OR Z 1.09, 95% CI 0.80e1.48) [93]. In an observational study that included around 8000 patients with acute coronary syndrome [94], WP smokers had a higher risk of recurrent ischemia (26.9% in WP group versus 14.1% in cigarette group, p Z 0.001), need of mechanical ventilation, and death (8.5% in WP group versus 3.4% in cigarette group, p Z 0.008) compared to cigarette and oral tobacco users. After adjustment for age and gender, the in-hospital mortality was significantly higher in WP smokers compared to cigarette users (OR Z 1.8) [94].…”

Section: Long-term Non-malignant Pulmonary Effects Of Water Pipementioning

confidence: 98%

“…In an observational study that included around 8000 patients with acute coronary syndrome [94], WP smokers had a higher risk of recurrent ischemia (26.9% in WP group versus 14.1% in cigarette group, p Z 0.001), need of mechanical ventilation, and death (8.5% in WP group versus 3.4% in cigarette group, p Z 0.008) compared to cigarette and oral tobacco users. After adjustment for age and gender, the in-hospital mortality was significantly higher in WP smokers compared to cigarette users (OR Z 1.8) [94].…”

Section: Long-term Non-malignant Pulmonary Effects Of Water Pipementioning

confidence: 99%

The growing epidemic of water pipe smoking: Health effects and future needs

Fakhreddine

Kanj

2014

Respiratory Medicine

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Water pipe smoking (WPS), an old method of tobacco smoking, is re-gaining widespread popularity all over the world and among various populations. Smoking machine studies have shown that the water pipe (WP) mainstream smoke (MSS) contains a wide array of chemical substances, many of which are highly toxic and carcinogenic for humans. The concentrations of some substances exceed those present in MSS of cigarettes. Despite being of low grade, current evidence indicates that WPS is associated with different adverse health effects, not only on the respiratory system but also on the cardiovascular, hematological, and reproductive systems, including pregnancy outcomes. In addition, association between WPS and malignancies, such as lung, oral and nasopharyngeal cancer, has been suggested in different studies and systematic reviews. Despite its long standing history, WPS research still harbors a lot of deficiencies. The magnitude of toxicants and carcinogen exposures, effects on human health, as well as the addiction and dependence potentials associated with WPS need to be studied in well-designed prospective trials. Unfortunately, many of the tobacco control and clean indoor policies have exempted water pipes. World wide awareness among the public, smokers, and policymakers about the potential health effects of WPS is urgently required. Furthermore, stringent policies and laws that control and ban WPS in public places, similar to those applied on cigarettes smoking need to be implemented.

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Tobacco modalities used and outcome in patients with acute coronary syndrome: an observational report

Abstract: Clinical characteristics and outcomes of ACS patients depend on the tobacco modality used. Further studies are required to evaluate the impact of emerging tobacco use modalities on patients with coronary artery disease.

Cited by 16 publications

References 47 publications

Health effects associated with waterpipe smoking

Health effects associated with waterpipe smoking

Perception and intentions to quit among waterpipe smokers in Qatar: a cross-sectional survey

The growing epidemic of water pipe smoking: Health effects and future needs

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